Visits & medical services prices at Vandalia Health Davis Medical Center

Elkins, WV · every code in this section with a posted price and a Medicare benchmark.

198 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $84.59 $120.84 2.4×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$13.90–$107.83 $19.85–$154.04 varies
Advncd Care Plan 30 Min (99497) $156.76 $223.93 1.6×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$468.58–$1,584.62 $669.39–$2,263.74 varies
Allg tstg perq & ic venoms immed react w/i&r (95017) $62.33 $89.04 2.2×
Analyze neurostim complex (95972) $557.25 $796.06 6.1×
Analyze neurostim no prog (95970) $1,152.33 $1,646.18 9.0×
Analyze Neurostim Simple (95971) $1,152.33 $1,646.18 12.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$75.69–$89.98 $108.12–$128.53 varies
Application on-body injector (96377) $119.83 $171.18 2.7×
Assessment of aphasia per hr (96105) $294.58 $420.82 3.0×
Assmt & care planning pt w/cognitive impairment (99483) $87.19 $124.55 0.9×
Audiometry Air & Bone (92553) $299.59 $427.98 2.4×
Behavral qualit analys voice (92524) $272.32 $389.02 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,203.82 $1,719.74 3.4×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$53.43–$172.15 $76.32–$245.92 varies
Cardiac Stress Tst,Tracing Only (93017) $808.71 $1,155.29 3.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$808.71–$1,203.82 $1,155.29–$1,719.74 varies
Cardioversion (92960)
range across 3 matching MRF lines
$847–$1,699.43 $1,209.99–$2,427.75 varies
Cbt 1st hour (94644) $1,072.94 $1,532.76 8.4×
Chemo Anti-Neopl Sq/Im (96401)
range across 3 matching MRF lines
$270.19–$538.70 $385.98–$769.56 varies
Chemo Hormon Antineopl Sq/Im (96402) $385.10 $550.14 5.6×
Chemo Ia Push (96420) $1,298.90 $1,855.57 4.1×
Chemo Intralesional Over 7 (96406) $1,298.90 $1,855.57 6.4×
Chemo intralesional up to 7 (96405) $270.19 $385.98 3.9×
Chemo IV infusion addl hr (96415) $270.19 $385.98 3.9×
Chemo IV push addl drug (96411) $626.66 $895.22 9.1×
Chemother Prolong Infuse W/Pump (96416) $1,298.90 $1,855.57 4.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,298.90 $1,855.57 4.1×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $270.19 $385.98 6.0×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$861.41–$1,298.90 $1,230.58–$1,855.57 varies
Chemotherapy Intracavitary (96440) $1,298.90 $1,855.57 4.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $438.53 $626.46 6.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,298.90 $1,855.57 4.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,298.90 $1,855.57 4.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $527.57 $753.66 1.7×
Chest Wall Manipulation (94668) $489.91 $699.87 3.8×
Chron Care Mgmt Srvc 20 Min (99490) $111.30 $159 1.1×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,571.03 $3,672.90 7.2×
Cmptr ophth dx img ant segmt (92132) $156.76 $223.93 2.8×
Color/duplex Doppler, complete (93975) $627.75 $896.78 2.7×
Color/duplex Doppler, limited (93976) $595.83 $851.18 5.9×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$297.74–$406.33 $425.33–$580.47 varies
Computerized Ophthalmic Imaging Optic Nerve (92133) $175.31 $250.43 3.1×
Computerized Ophthalmic Imaging Retina (92134) $175.31 $250.43 3.1×
Continuous Pulse Ox (94762) $599.09 $855.84 4.9×
Corneal Topography (92025) $175.31 $250.43 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$555.90–$818.04 $794.14–$1,168.62 varies
Cpt initial (94667)
range across 2 matching MRF lines
$489.91–$818.04 $699.87–$1,168.62 varies
Critical care first hour (99291) $3,403.36 $4,861.93 4.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$373.97–$992.80 $534.24–$1,418.28 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $808.71 $1,155.29 2.3×
Echo Heart Xthoracic,Limited (93308) $627.75 $896.78 2.7×
Echo r-t 2d w/probe placement only (93313) $1,423.94 $2,034.19 2.7×
Echo transesophag montr cardiac pump functj (93318) $1,423.94 $2,034.19 2.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,787.48 $2,553.54 3.4×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$808.71–$1,150.07 $1,155.29–$1,642.95 varies
EEG awake drowsy (95816) $1,203.82 $1,719.74 5.8×
EEG cerebral death evaluation (95824) $522.24 $746.05 1.5×
Eeg Sleep Only (95822) $1,491.82 $2,131.17 7.2×
Electrical Stimulation Ea 15 Min (97032) $75.69 $108.12 5.1×
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines
$154.26–$163.52 $220.37–$233.59 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$411.27–$627.27 $587.52–$896.10 varies
Emergency Dept Visit Level 3 (99283) $1,094.30 $1,563.28 4.2×
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$1,334.86–$1,698.70 $1,906.94–$2,426.71 varies
Er level 1 (99281) $340.51 $486.43 4.2×
Er level v (99285)
range across 4 matching MRF lines
$1,592.22–$3,403.36 $2,274.60–$4,861.93 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $406.33 $580.47 3.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$468.58–$818.04 $669.39–$1,168.62 varies
Evaluate Speech Production (92522) $272.32 $389.02 2.4×
Evaluate Swallowing Function (92610) $253.77 $362.52 3.0×
Evaluation of speech fluency (92521) $272.32 $389.02 2.0×
Evoked Auditory Test,Limited (92587) $808.71 $1,155.29 3.9×
External Ecg Scanning Analysis Report (93226) $355.42 $507.74 6.3×
Fundus photography (92250) $333.90 $477 2.6×
Gonioscopy (92020) $353.39 $504.83 2.8×
Group Therapeutic Procedures (97150) $80.88 $115.54 4.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,817.18 $2,595.96 2.8×
Holter monitor recording (93225) $355.42 $507.74 2.8×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$13.90–$184.84 $19.85–$264.05 varies
Immunization administration (90471)
range across 12 matching MRF lines
$13.90–$184.84 $19.85–$264.05 varies
Intracutaneous tests w/allergenic extracts (95024) $141.36 $201.93 2.5×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$154.26–$462.78 $220.37–$661.11 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$120.95–$449.66 $172.78–$642.36 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$547.17–$1,282.18 $781.67–$1,831.68 varies
IV infusion ther proph addl sequential to 1 hr (96367) $184.84 $264.05 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$120.95–$137.27 $172.78–$196.10 varies
IV push initial (96374) $547.17 $781.67 2.7×
Mechanical chest wall oscillation per session (94669) $489.93 $699.90 2.3×
Motion Fluoroscopy/Swallow (92611) $253.77 $362.52 2.8×
Motor &/sens nrv cndj preconf eltrd array limb (95905)
range across 2 matching MRF lines
$1,036.31–$1,482.30 $1,480.44–$2,117.57 varies
Muscle Test One Limb (95860) $334.76 $478.22 2.6×
Nasopharyngoscopy (92511) $504.19 $720.26 2.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $808.71 $1,155.29 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$251.54–$471.92 $359.34–$674.16 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$1,197.22–$1,483.44 $1,710.31–$2,119.19 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$406.33–$581.12 $580.47–$830.17 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$1,377.98–$1,994 $1,968.53–$2,848.57 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$1,377.98–$1,994 $1,968.53–$2,848.57 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$808.71–$1,167.71 $1,155.29–$1,668.15 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$808.71–$1,167.71 $1,155.29–$1,668.15 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$808.71–$1,167.71 $1,155.29–$1,668.15 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$1,377.98–$1,994 $1,968.53–$2,848.57 varies
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$808.71–$1,167.71 $1,155.29–$1,668.15 varies
Neuromuscular Reeducation (97112) $80.88 $115.54 2.5×
Newborn resuscitation (99465) $7,488.35 $10,697.64 11.8×
Nitric oxide expired gas determination (95012) $140.24 $200.34 3.9×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $353.39 $504.83 2.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $369.15 $527.35 2.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $369.15 $527.35 2.9×
Ophth medical xm&eval intermediate estab pt (92012) $369.15 $527.35 2.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $369.15 $527.35 2.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $175.31 $250.43 3.1×
Optokinetic Nystagmus Test (92544) $309.79 $442.55 2.5×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$64.56–$143.95 $92.22–$205.64 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$276.77–$375.46 $395.38–$536.36 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $79.40 $113.42 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80.88 $115.54 1.8×
Oscillating Tracking Test (92545) $571.34 $816.20 2.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $96.53 $137.90 4.7×
Osteopathic manipulative tx 3-4 body regions (98926) $58.44 $83.48 2.8×
Osteopathic manipulative tx 5-6 body regions (98927) $96.53 $137.90 4.7×
Osteopathic manipulative tx 7-8 body regions (98928) $96.53 $137.90 4.7×
Osteopathic manipulative tx 9-10 body regions (98929) $96.53 $137.90 4.7×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$33.39–$80.88 $47.70–$115.54 varies
Ot Prosthetic Training, Each 15 Min (97761) $83.85 $119.78 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $1,203.82 $1,719.74 9.7×
Percutaneous tests w/allergenic extracts (95004) $2,277.20 $3,253.14 2.8×
Plethysmography (94726) $1,203.82 $1,719.74 3.4×
Positional nystagmus test (92542) $235.59 $336.55 1.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $104.63 $149.46 2.3×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $104.63 $149.46 2.3×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $104.63 $149.46 1.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$119.83–$163.72 $171.18–$233.88 varies
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $104.63 $149.46 2.3×
Psych diag eval w/med srvcs (90792) $172.52 $246.45 1.0×
Psychiatric diagnostic evaluation (90791) $165.10 $235.85 1.0×
Pt Eval High Complex (97163) $250.80 $358.28 2.6×
Pt eval low complex 20 min (97161) $250.80 $358.28 2.6×
Pt Eval Mod Complex (97162) $250.80 $358.28 2.6×
Pt gait training 15 min (97116) $80.88 $115.54 2.8×
Pt group caregiver training (97552) $32.65 $46.64 1.5×
Pt Re-Eval Est Plan Care (97164) $141.73 $202.46 2.1×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$359.50–$1,203.82 $513.57–$1,719.74 varies
Pulmonary service/procedure (94799) $98.69 $140.98 0.8×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$186.99–$489.93 $267.12–$699.90 varies
Pure Tone Audiometry Air (92552) $236.52 $337.88 1.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $861.41 $1,230.58 2.7×
Refill/Maint Portable Pump (96521) $547.17 $781.67 2.7×
Refill/Maint Pump/Resvr Syst (96522)
range across 3 matching MRF lines
$547.17–$595.83 $781.67–$851.18 varies
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$102.66–$164.73 $146.65–$235.32 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $443 $632.85 7.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $516.03 $737.18 2.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $356.16 $508.80 2.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $179.57 $256.52 3.8×
Self Care Mngment Training (97535) $83.85 $119.78 2.6×
Sinusoidal Vertical Axis Rotational Testing (92546) $299.59 $427.98 2.4×
Sleep study unattended (95806) $406.33 $580.47 2.0×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$112.79–$119.56 $161.12–$170.79 varies
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$117.80–$154.26 $168.28–$220.37 varies
Speech audiometry threshold (92555) $70.49 $100.70 1.2×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$80.88–$272.32 $115.54–$389.02 varies
Spirometry (94010)
range across 3 matching MRF lines
$359.50–$599.09 $513.57–$855.84 varies
Spontaneous Nystagmus Test (92541) $236.52 $337.88 1.9×
Standardized Cognitive Performance Testing (96125) $218.89 $312.70 2.1×
Stress Tte Only (93350)
range across 3 matching MRF lines
$1,851.29–$1,852.04 $2,644.70–$2,645.76 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $547.17 $781.67 2.7×
Temp transcutaneous pacing (92953) $1,699.43 $2,427.75 2.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $64.56 $92.22 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $59.36 $84.80 2.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $80.88 $115.54 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $276.77 $395.38 2.7×
Ther/Prop/Diag Inj/Inf Proc (96379) $119.83 $171.18 2.7×
Ther/Proph/Diag Inj Ia (96373) $547.17 $781.67 2.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines
$98.69–$184.84 $140.98–$264.05 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$342.07–$547.17 $488.66–$781.67 varies
Therapeutic Activities (97530) $80.88 $115.54 2.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $106.75 $152.50 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $106.75 $152.50 3.0×
Trans Care Mgmt 14 Day Disch (99495) $455.61 $650.86 3.6×
Trans Care Mgmt 7 Day Disch (99496) $455.61 $650.86 3.6×
Tte w/doppler, complete (93306) $1,423.94 $2,034.19 2.7×
Tte W/O Doppler Complete (93307) $627.75 $896.78 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$36.36–$143.95 $51.94–$205.64 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $80.88 $115.54 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $119.83 $171.18 2.7×
Tympanometry (92567)
range across 2 matching MRF lines
$70.49–$101.94 $100.70–$145.62 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$299.59–$406.33 $427.98–$580.47 varies
Vasopneumatic device (97016) $49.72 $71.02 4.1×
Vent Mgmt Inpat Init Day (94002) $818.04 $1,168.62 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $703.84 $1,005.48 1.2×
Visual Field Exam Extended (92083) $353.39 $504.83 2.8×
Visual field xm uni/bi w/interp intermed exam (92082) $211.47 $302.10 3.7×
Visual field xm uni/bi w/interpretj limited exam (92081) $175.31 $250.43 3.1×
Visual reinforcement audiometry (vra) (92579) $359.50 $513.57 1.7×
Vital capacity, total (94150) $320.64 $458.05 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $97.95 $139.92 3.2×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $175.31 $250.43 4.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.